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目的 评价经尿道等离子体双极电切术治疗良性前列腺增生(BPH)的疗效。方法 用经尿道等离子体双极电切行前列腺切除(PKRP)200例,病人年龄58~91岁,平均74.1岁,前列腺32~146g ,平均(56.340.2)g。术后随访1~6个月。结果 手术时间16~103min,平均(5232)min,无一例需要输血,无电切综合征发生。术后IPSS由(27.14.5)分降至(11.33.4)分(P<0.05);最大尿流率(MFR)由(6.12.4)ml/s上升至(18.63.5)ml/s(P<0.05);生活质量评分(QOL)由术前的5.6下降至1.5(P<0.05);剩余尿(RU)由(102.343.3)ml降至(22.616.3)ml(P<0.05)。4项指标手术前后比较差异均有显著性意义(P<0.05)。结论 用双极等离子体进行PKRP安全有效。
Objective To evaluate the efficacy of transurethral plasma bipolar resection in the treatment of benign prostatic hyperplasia (BPH). Methods 200 patients underwent transurethral plasma bipolar resection (PKRP) of prostatectomy (PKRP). The patients were 58 to 91 years old with an average of 74.1 years old and 32 to 146 g of prostate, with an average of 56.340.2 g. Follow-up 1 to 6 months after surgery. Results The operation time ranged from 16 to 103 minutes (mean, 5232) min. No blood transfusion was required, and no switch-off syndrome occurred. The IPSS decreased from (27.14.5) to (11.33.4) points (P <0.05), and the maximum flow rate increased from (6.12.4) ml / s to (18.63.5) ml / s (P <0.05). The quality of life (QOL) decreased from 5.6 to 1.5 before surgery (P <0.05), while the residual urine (RU) decreased from 102.343.3 to 22.616.3 ml ). The four indexes had significant difference before and after operation (P <0.05). Conclusion Bipolar plasma PKRP safe and effective.